PRAIRIE VIEW INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- PRAIRIE VIEW INC (EIN 48-0642318)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-15
- IRS object ID
- 202511359349314461
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-15T15:54:58+00:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1551 N Waterfront Pkwy Ste 300 | AddressLine1Txt |
| City | Wichita | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 672066601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480642318 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Prairie View Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRAI | BusinessNameControlTxt |
| Phone | 3162846310 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 E First PO Box 467 | AddressLine1Txt |
| City | Newton | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Marcy Johnson | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3162846310 | PhoneNum |
| Signature | 2025-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brandon Schulze | PreparerPersonNm |
| PTIN | P02051564 | PTIN |
| Phone | 3162652811 | PhoneNum |
| Preparation | 2025-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCY JOHNSON | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 E First PO Box 467 | AddressLine1Txt |
| City | Newton | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,754,518 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PRAIRIEVIEW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | NON-PROFIT BEHAVIORAL AND MENTAL HEALTH CENTER | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 451 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,199,758 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,381,199 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,521,914 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,893,977 | CYProgramServiceRevenueAmt |
| PY Investment Income | $47,581 | PYInvestmentIncomeAmt |
| CY Investment Income | $185,075 | CYInvestmentIncomeAmt |
| PY Other Revenue | $465,417 | PYOtherRevenueAmt |
| CY Other Revenue | $234,070 | CYOtherRevenueAmt |
| PY Total Revenue | $21,234,670 | PYTotalRevenueAmt |
| CY Total Revenue | $30,694,321 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $95,455 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $125,283 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,893,339 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,392,831 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $440,025 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,987,943 | PYOtherExpensesAmt |
| CY Other Expenses | $6,064,646 | CYOtherExpensesAmt |
| PY Total Expenses | $22,976,737 | PYTotalExpensesAmt |
| CY Total Expenses | $28,582,760 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,742,067 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,111,561 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,728,723 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,050,580 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,722,726 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,700,724 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,005,997 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,349,856 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO FOSTER HEALING AND GROWTH IN INDIVIDUALS AND COMMUNITIES BY PROVIDING BEHAVIORAL AND MENTAL HEALTH SERVICES WITH COMPASSION, COMPETENCE, AND STEWARDSHIP IN THE SPIRIT OF CHRIST | MissionDesc |
| Significant New Program Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $24,367,827 | ExpenseAmt |
| Grant | $125,283 | GrantAmt |
| Revenue | $24,128,047 | RevenueAmt |
| Desc | A SPECTRUM OF SERVICES PROVIDED TO CHILDREN, ADOLESCENTS, ADULTS AN OLDER ADULTS - INPATIENT HOSPITALIZATION AND INTENSIVE OUTPATIENT, EMERGENCY ASSESSMENT SERVICES, PSYCHOLOGICAL TESTING, A SPECIAL RESIDENTIAL SCHOOL AND EXPERIENTIAL, ADVENTURE-BASED LEARNING. FOR THOSE WITH MORE SEVERE AND PERSISTENT MENTAL ILLNESS, SPECIAL SERVICES ARE PROVIDED WITH NURSING AND COMMUNITY-BASED SUPPORT. | Desc |
| Total Program Service Expenses | $24,367,827 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 43 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 451 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KS | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCY JOHNSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3162846310 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 E FIRST PO BOX 467 | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LINDA OGDEN | ||||||||
| CHAIR | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARTIN WARD | ||||||||
| CHAIR-ELECT | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MATT FUQUA | ||||||||
| TREASURER | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ANGELA PEREZ | ||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| ARLENE HETT | ||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| BARTH HAUGE | ||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| BEN SCHRAG | ||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| DREW SCHULTZ | ||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| ELIZABETH GRABER | ||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| HEATHER KILLPATRICK-O'CONNOR | ||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| JOHN WALTNER | ||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| TIM HODGE | ||||||||
| MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| MARCY JOHNSON | ||||||||
| CHIEF EXECUTIVE OFFICER | 39.0 | 1.0 | Yes (X) | $220,040 | $0 | $12,173 | ||
| MATTHEW ANKENBRANDT | ||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | 0.0 | Yes (X) | $148,618 | $0 | $5,478 | ||
| AVEEKSHIT TRIPATHI | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $173,938 | $0 | $4,063 | Yes (X) | ||
| DAVID HON | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $219,662 | $0 | $28,141 | Yes (X) | ||
| MERCEDES PERALES | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $247,300 | $0 | $25,404 | Yes (X) | ||
| MWENDALUBI YASA | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $170,294 | $0 | $18,117 | Yes (X) | ||
| SATINDER MAHAL | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $177,336 | $0 | $21,435 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,357,188 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $114,811 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NETSMART TECHNOLOGIES | |||||
| 4950 COLLEGE BLVD | OVERLAND PARK | KS | 66211 | BILLING SERVICES | $421,625 |
| HUTTON FACILITY SERVICES | |||||
| 111 N SYCAMORE | WICHITA | KS | 67203 | CONSTRUCTION CONTRACTOR | $372,020 |
| CENTRAL NURSES | |||||
| 5112 E CENTRAL AVE | WICHITA | KS | 67208 | AGENCY NURSING | $266,427 |
| Interim Health Care | |||||
| 9920 E HARRY ST | WICHITA | KS | 67202 | AGENCY NURSING | $198,774 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,124,272 | GovernmentGrantsAmt |
| All Other Contributions | $256,927 | AllOtherContributionsAmt |
| Total Contributions | $6,381,199 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | $23,724,984 | $23,724,984 |
| HEALTHCARE ACCESS IMPROVEMENT | 624100 | $168,993 | $168,993 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,893,977 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $141,501 | TotalRevenueColumnAmt |
| Exclusion | $141,501 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $53,355 | SecuritiesAmt |
| Other | $50,416 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,510 | SecuritiesAmt |
| Other | $46,687 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $39,845 | SecuritiesAmt |
| Other | $3,729 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,574 | TotalRevenueColumnAmt |
| Exclusion | $43,574 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $234,070 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $234,070 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $234,070 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,694,321 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,128,047 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $185,075 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,283 | TotalAmt |
| Program Services | $125,283 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,973 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $354,973 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,737,285 | TotalAmt |
| Program Services | $16,259,341 | ProgramServicesAmt |
| Management And General | $2,144,300 | ManagementAndGeneralAmt |
| Fundraising | $333,644 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $265,685 | TotalAmt |
| Program Services | $231,443 | ProgramServicesAmt |
| Management And General | $29,489 | ManagementAndGeneralAmt |
| Fundraising | $4,753 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,502,464 | TotalAmt |
| Program Services | $1,308,824 | ProgramServicesAmt |
| Management And General | $166,762 | ManagementAndGeneralAmt |
| Fundraising | $26,878 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,532,424 | TotalAmt |
| Program Services | $1,334,923 | ProgramServicesAmt |
| Management And General | $170,087 | ManagementAndGeneralAmt |
| Fundraising | $27,414 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,034 | TotalAmt |
| Management And General | $67,034 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,199 | TotalAmt |
| Management And General | $90,199 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133 | TotalAmt |
| Management And General | $133 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,156 | TotalAmt |
| Management And General | $14,156 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,728,541 | TotalAmt |
| Program Services | $2,355,402 | ProgramServicesAmt |
| Management And General | $347,548 | ManagementAndGeneralAmt |
| Fundraising | $25,591 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,655 | TotalAmt |
| Program Services | $23,655 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $674,483 | TotalAmt |
| Program Services | $579,927 | ProgramServicesAmt |
| Management And General | $88,071 | ManagementAndGeneralAmt |
| Fundraising | $6,485 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,240 | TotalAmt |
| Program Services | $2,240 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,065 | TotalAmt |
| Program Services | $413,624 | ProgramServicesAmt |
| Management And General | $62,816 | ManagementAndGeneralAmt |
| Fundraising | $4,625 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,857 | TotalAmt |
| Program Services | $109,933 | ProgramServicesAmt |
| Management And General | $16,695 | ManagementAndGeneralAmt |
| Fundraising | $1,229 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,363 | TotalAmt |
| Management And General | $65,363 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,985 | TotalAmt |
| Program Services | $325,458 | ProgramServicesAmt |
| Management And General | $29,527 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $371,993 | TotalAmt |
| Program Services | $371,993 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| EQUIPMENT RENTAL | $384,628 | $330,707 | $50,223 | $3,698 |
| REAIRS & MAINTENANCE | $252,643 | $217,225 | $32,989 | $2,429 |
| DUES & SUBSCRIPTIONS | $119,138 | $102,436 | $15,557 | $1,145 |
| DRUGS & PHARMACEUTICALS | $84,548 | $84,548 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,985 | TotalAmt |
| Program Services | $190,865 | ProgramServicesAmt |
| Management And General | $28,986 | ManagementAndGeneralAmt |
| Fundraising | $2,134 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,582,760 | TotalAmt |
| Program Services | $24,367,827 | ProgramServicesAmt |
| Management And General | $3,774,908 | ManagementAndGeneralAmt |
| Fundraising | $440,025 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$274,149 | BOYAmt |
| EOY | $290,947 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $410,073 | BOYAmt |
| EOY | $710,155 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,311,450 | BOYAmt |
| EOY | $3,593,302 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $372,822 | BOYAmt |
| EOY | $444,268 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,188,628 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,535,467 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,632,409 | BOYAmt |
| EOY | $3,653,161 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,855,786 | BOYAmt |
| EOY | $4,081,569 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $420,332 | BOYAmt |
| EOY | $607,113 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,670,065 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,728,723 | BOYAmt |
| EOY | $16,050,580 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,696,456 | BOYAmt |
| EOY | $3,418,352 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,199 | BOYAmt |
| EOY | $173 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,346 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,725 | BOYAmt |
| EOY | $782,199 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,722,726 | BOYAmt |
| EOY | $4,700,724 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,699,824 | BOYAmt |
| EOY | $7,068,283 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,306,170 | BOYAmt |
| EOY | $4,281,573 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,005,994 | BOYAmt |
| EOY | $11,349,856 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,728,720 | BOYAmt |
| EOY | $16,050,580 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,111,561 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $232,301 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,780,439 | BeginningYearBalanceAmt |
| Contributions | $4,714 | ContributionsAmt |
| Investment Earnings Or Losses | $401,731 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $93,142 | OtherExpendituresAmt |
| End Year Balance | $4,093,742 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,535,341 | BeginningYearBalanceAmt |
| Contributions | $3,000 | ContributionsAmt |
| Investment Earnings Or Losses | $273,460 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $31,362 | OtherExpendituresAmt |
| End Year Balance | $3,780,439 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,229,262 | BeginningYearBalanceAmt |
| Contributions | $523 | ContributionsAmt |
| Investment Earnings Or Losses | -$564,694 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $129,750 | OtherExpendituresAmt |
| End Year Balance | $3,535,341 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,496,289 | BeginningYearBalanceAmt |
| Contributions | $6,615 | ContributionsAmt |
| Investment Earnings Or Losses | $861,341 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $134,983 | OtherExpendituresAmt |
| End Year Balance | $4,229,262 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,795,209 | BeginningYearBalanceAmt |
| Contributions | $3,646 | ContributionsAmt |
| Investment Earnings Or Losses | $155,604 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $458,170 | OtherExpendituresAmt |
| End Year Balance | $3,496,289 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0306 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.5023 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.4671 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $125,304 | OtherCostOrOtherBasisAmt |
| Book Value | $125,304 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,882,291 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,637,702 | DepreciationAmt |
| Book Value | $3,244,589 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $519,853 | OtherCostOrOtherBasisAmt |
| Depreciation | $498,922 | DepreciationAmt |
| Book Value | $20,931 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,642,590 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,398,843 | DepreciationAmt |
| Book Value | $243,747 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,590 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $18,590 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,653,161 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ROU ASSETS | $756,501 |
| ASSETS HELD FOR SALE | $1,859,464 |
| DUE FROM RELATED PARTY | $54,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,670,065 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF-INSURANCE LIABILITY | $25,698 |
| OPERATING LEASE LIABILITY | $756,501 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $782,199 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $30,908,737 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $232,301 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $232,301 | RevenueNotReportedAmt |
| Revenue Subtotal | $30,676,436 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $14,156 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $3,729 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $17,885 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $30,694,321 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $28,564,875 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$3,729 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$3,729 | ExpensesNotReportedAmt |
| Expenses Subtotal | $28,568,604 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $14,156 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $14,156 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $28,582,760 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 ASC 740 FOOTNOTE | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| Schedule D, Part V, Line 4 Intended uses of endowment funds | THE ENDOWMENT FUNDS ARE INTENDED TO SUPPORT PROGRAMS FOR THE ORGANIZATION. |
| Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements | GAIN ON DISPOSAL OF ASSET - 3729 |
| Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 | GAIN ON DISPOSAL OF ASSET - -3729 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | false | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $380,956 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $380,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0133 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,406,230 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,262,201 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,144,029 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0750 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $18,787,186 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,262,201 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,524,985 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0883 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,428 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0009 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $25,428 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0009 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $18,812,614 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,262,201 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,550,413 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0892 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $597,630 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $386,737 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $816,437 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$429,700 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRAIRIE VIEW INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 E FIRST ST | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PRAIRIEVIEW.ORG | WebsiteAddressTxt |
| State License | M040001 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | PSYCHIATRIC HOSPITAL WITH OUTPATIENT SERVICES | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRAIRIE VIEW INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://prairieview.org/RESOURCES | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://prairieview.org/RESOURCES | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Dscnt Care | 200.0 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://PRAIRIEVIEW.ORG/ADMISSIONS/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://PRAIRIEVIEW.ORG/ADMISSIONS/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://PRAIRIEVIEW.ORG/ADMISSIONS/FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - PRAIRIE VIEW, INC.. EWTON MEDICAL CENTER |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - PRAIRIE VIEW, INC.. NEWTON FIRE/EMS, HARVEY COUNTY HEALTH DEPARTMENT, HEALTH MINISTRIES CLINIC INC., HEALTHY HARVEY COALITION |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - PRAIRIE VIEW, INC.. NEEDS OUTSIDE THE SCOPE OF SERVICES PROVIDED BY PRAIRIE VIEW ARE BEING PROVIDED BY NEWTON MEDICAL CENTER, THE LOCAL COUNTY HEALTH DEPARTMENT AND FQHC - HEALTH MINISTRIES CLINIC, INC. THESE IDENTIFIED NEEDS INCLUDE COMMUNITY HOUSING, SERVICES FOR HOMELESS PERSONS, CHILD CARE SERVICES, DENTAL SERVICES, ETC. |
| Schedule H, Part V, Section B, Line 13 Facility , 1 | Facility , 1 - PRAIRIE VIEW, INC.. IN ADDITION TO MEETING THE INCOME ELIGIBILITY LIMITS AND PROOF OF RESIDENCY, THE FINANCIAL ASSISTANCE POLICY EXPLAINS SUPPORTING DOCUMENTS THAT MUST BE SUPPLIED WITH THE APPLICATION TO DEMONSTRATE FINANCIAL NEED. PROOF OF RESIDENCY CAN BE SHOWN BY ONE OF THE FOLLOWING: A UTILITY BILL, MOST RECENT BANK STATEMENT, LETTER FROM HOUSING SHELTER, CURRENT LEASE OR LETTER FROM LANDLORD, LETTER FROM FAMILY OR FRIEND, OR A PRARIE VIEW SELF ATTESTATION FORM. PROOF OF INCOME CAN BE SHOWN BY ONE OF THE FOLLOWING: TWO MOST RECENT PAYSTUBS, UNEMPLOYMENT LETTER OR PAYSTUB, MOST RECENT BANK STATEMENT, MOST RECENT FORM W-2 OR TAX RETURN, SOCIAL SECURITY OR DISABILITY AWARD LETTER, OR A PRAIRIE VIEW SELF ATTESTATION FORM. |
| Schedule H, Part V, Section B, Line 16 Facility , 1 | Facility , 1 - PRAIRIE VIEW, INC.. FINANCIAL COUNSELORS MEET WITH PATIENTS UPON ADMISSION, DISCHARGE, AND THROUGHOUT THE COURSE OF TREATMENT TO REVIEW FINANCIAL STATUS. IF IT IS SUSPECTED THE PATIENT WOULD QUALIFY FOR DISCOUNTED CHARGES THROUGH THE FAP, THE PATIENT IS ENCOURAGED TO APPLY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| NEWTON OUTPATIENT CLINIC | ||||
| 1901 E FIRST ST | NEWTON | KS | 67114 | OUTPATIENT CLINIC |
| WICHITA EAST OUTPATIENT CLINIC | ||||
| 9333 E 21ST ST N | WICHITA | KS | 672062927 | OUTPATIENT CLINIC |
| TURNING POINT | ||||
| 1901 E FIRST ST | NEWTON KS | KS | 67114 | PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY |
| MCPHERSON OUTPATIENT CLINIC | ||||
| 1102 HOSPITAL DR | MCPHERSON | KS | 674602318 | OUTPATIENT CLINIC |
| WICHITA WEST OUTPATIENT CLINIC | ||||
| 7570 W 21ST ST N STE 1026-D | WICHITA | KS | 672051734 | OUTPATIENT CLINIC |
| HILLSBORO OUTPATIENT CLINIC | ||||
| 508 S ASH ST | HILLSBORO | KS | 670630185 | OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | BAD DEBT CALCULATION IS BASED ON HISTORICAL COLLECTION ACTIVITY BY SPECIFIC AGING BUCKETS AND APPLIED TO CURRENT PERIOD ACCOUNTS RECEIVABLE BALANCES. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE CURRENT FISCAL YEAR MEDICARE COST REPORT WAS USED TO DETERMINE THE CURRENT YEAR MEDICARE ALLOWABLE COSTS. THE SHORTFALL SHOWN HERE IS NOT USED FOR COMMUNITY BENEFIT EXPENSE CALCULATIONS. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | PATIENTS WHO ARE KNOWN OR SUSPECTED TO QUALIFY FOR FINANCIAL ASSISTANCE ARE ENCOURAGED TO APPLY FOR FINANCIAL ASSISTANCE THROUGH THE FINANCIAL ASSISTANCE POLICY. THIS ENCOURAGEMENT AND REFERENCE IS MADE MULTIPLE TIMES IN OUR COLLECTION POLICY. IF THE PATIENT CHOOSES NOT TO APPLY FOR FINANCIAL ASSISTANCE THEY ARE SUSCEPTIBLE TO NORMAL COLLECTION PROCEDURES. 30 DAYS PRIOR TO THE INITIATION OF ANY EXTRAORDINARY COLLECTION ACTIONS (ECA), ALL PATIENTS (REGARDLESS OF WHETHER THEY ARE SUSPECTED TO QUALIFY FOR FINANCIAL ASSISTANCE OR NOT) RECEIVE: 1) WRITTEN NOTICE THAT A FINANCIAL ASSISTANCE POLICY EXISTS, 2) A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FAP, AND 3) NOTICE THAT IF PAYMENT ARRANGEMENTS OR AN APPLICATION FOR FINANCIAL ASSISTANCE IS NOT RECEIVED WITHIN 30 DAYS THEIR BALANCE MAY GO TO COLLECTIONS. IF ECA ARE IN PLACE, AND A COMPLETED FAP APPLICATION IS RECEIVED, ECA IN PROGRESS IS SUSPENDED UNTIL A DETERMINATION IS MADE REGARDING FINANCIAL ASSISTANCE. |
| Schedule H, Part V, Section B, Line 16a FAP website | - PRAIRIE VIEW, INC.: Line 16a URL: HTTPS://PRAIRIEVIEW.ORG/ADMISSIONS/FINANCIAL-ASSISTANCE; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - PRAIRIE VIEW, INC.: Line 16b URL: HTTPS://PRAIRIEVIEW.ORG/ADMISSIONS/FINANCIAL-ASSISTANCE; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - PRAIRIE VIEW, INC.: Line 16c URL: HTTPS://PRAIRIEVIEW.ORG/ADMISSIONS/FINANCIAL-ASSISTANCE; |
| Schedule H, Part VI, Line 2 Needs assessment | PRAIRIE VIEW PARTICIPATES IN THE COMMUNITY NEEDS ASSESSMENT COMPLETED BY THE UNITED WAY, HEALTH DEPARTMENT, AND THE CHAMBERS OF COMMERCE. IN ADDITION, PRAIRIE VIEW CONDUCTS ITS OWN LARGER ASSESSMENT ONCE EVERY THREE YEARS AS PART OF THE STRATEGIC PLANNING PROCESS. STAKEHOLDER INPUT SESSIONS IN THE THREE COUNTY COMMUNITY ADVISORY COMMITTEES (COMMUNITY MENTAL HEALTH CLINICS) ALSO INFORM AND ENHANCE THIS ACTIVITY. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | UPON ADMISSION TO PRAIRIE VIEW, PATIENTS AND/OR RESPONSIBLE PARTIES MEET WITH THEIR ASSIGNED FINANCIAL COUNSELOR. AT THIS TIME THE PATIENT OR GUARANTOR WILL RECEIVE ORAL AND WRITTEN INFORMATION REGARDING THE PATIENT'S FINANCIAL RESPONSIBILITY. AT THIS TIME THE PATIENT OR GUARANTOR WILL ALSO RECEIVE ORAL AND WRITTEN INFORMATION REGARDING OUR FINANCIAL ASSISTANCE POLICY IF IT IS SUSPECTED THAT THEY WILL QUALIFY, AND/OR IF ABILITY TO PAY IS NOTED AS A CONCERN. PATIENTS ARE ALSO EDUCATED AT THIS TIME ON THEIR ABILITY TO APPLY FOR GOVERNMENTAL PROGRAMS IF IT IS DETERMINED THAT THEY MAY MEET THE QUALIFICATIONS (I.E. PRIMARILY MEDICAID). PRAIRIE VIEW STAFF WILL ASSIST THEM WITH THESE APPLICATIONS IF NECESSARY. PATIENTS AND/OR RESPONSIBLE PARTIES CAN ALSO APPLY FOR FINANCIAL ASSITANCE ON PRAIRIE VIEW'S WEBSITE. PRAIRIE VIEW MAY PRESUME ELIGIBILITY FOR FINANCIAL ASSISTANCE IF IT RECEIVES INFORMATION OUTSIDE OF THE FINANCIAL ASSISTANCE APPLICATION THAT LEADS IT TO BELIEVE THE PATIENT MAY BE ELIGIBLE, SUCH AS: 1) PATIENT IS UNHOUSED (FACING EVICTION AND/OR UNSHELTERED) 2) PATIENT IS DIAGNOSED WITH A SEVERE AND PERSISTENT MENTAL ILLNESS, OR A SEVERE EMOTIONAL DISTURBANCE 3) PATIENT BALANCES HAVE BEEN DISCHARGED BY A BANKRUPTCY COURT 4) PATIENT IS DECEASED, AND BALANCE DUE REMAINS AFTER ALL ASSETS IN AN ESTATE HAVE BEEN DISTRIBUTED |
| Schedule H, Part VI, Line 4 Community information | PRAIRIE VIEW'S CRISIS INTERVENTION CENTER IS 72 HOURS CRISIS SERVICES FACILITY LOCATED IN NEWTON, KANSAS. NEWTON IS THE COUNTY SEAT AND MOST POPULOUS CITY IN HARVEY COUNTY. ACCORDING TO 2023 DEMOGRAPHIC DATA, HARVEY COUNTY HAD A POPULATION OF 33,504. IN THAT YEAR, THE MEDIAN INCOME WAS $48,793 8.4% OF RESIDENTS HAD NO INSURANCE, AND 8.2% WERE LIVING BELOW THE POVERTY LINE. THE RAILROAD, AGRICULTURE MANUFACTURERS, AND FARMING HAVE A LONG HISTORY IN HARVEY COUNTY AND MAKE UP MOST OF THE WORKFORCE. HARVEY COUNTY HAS A HOSPITAL SYSTEM, A FEDERALLY QUALIFIED HEALTHCARE CENTER, AND SEVERAL PRIVATE PRIMARY CARE PHYSICIAN OFFICES. THERE ARE SEVENTY-SIX CHURCHES, EIGHT LONG-TERM CARE FACILITIES, AND TWO LOCAL COLLEGES THAT ARE ALSO PRESENT IN THE COMMUNITY. THE CRISIS INTERVENTION CENTER PROGRAM IS FOCUSED ON PROVIDING A SAFE ENVIRONMENT FOR PERSONS EXPERIENCING A MENTAL HEALTH CRISIS. THE CENTER ACCEPTS ADMISSIONS 24 HOURS/DAY, 7 DAYS A WEEK. |
| Schedule H, Part VI, Line 5 Promotion of community health | PRAIRIE VIEW'S MISSION IS TO FOSTER HEALING AND GROWTH IN INDIVIDUALS AND COMMUNITIES BY PROVIDING BEHAVIORAL AND MENTAL HEALTH CARE SERVICES WITH COMPASSION, COMPETENCE, AND STEWARDSHIP IN THE SPIRIT |
| Schedule H, Part VI, Line 7 State filing of community benefit report | KS |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SHP Assistance | GrantTypeTxt |
| Recipient | 13 | RecipientCnt |
| Cash Grant | $125,283 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | THE USE OF GRANT FUNDS ARE MONITORED THROUGH THE PRACTICE OF DIRECTLY APPLYING FUNDS TO THE PATIENT ACCOUNTS FOR MEDICAL EXPENSES AND OTHER EXPENSES FOR THE HOMELESS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARCY JOHNSON | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $219,615 | $0 | $200 | $0 | $225 | $0 | $5,345 | $0 | $6,828 | $0 | $232,213 | $0 | $0 | $0 |
| MATTHEW ANKENBRANDT | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $144,108 | $0 | $200 | $0 | $4,310 | $0 | $1,088 | $0 | $4,390 | $0 | $154,096 | $0 | $0 | $0 |
| MERCEDES PERALES | ||||||||||||||
| PSYCHIATRIST | $235,037 | $0 | $11,291 | $0 | $972 | $0 | $7,671 | $0 | $17,733 | $0 | $272,704 | $0 | $0 | $0 |
| DAVID HON | ||||||||||||||
| PSYCHIATRIST | $212,883 | $0 | $5,789 | $0 | $990 | $0 | $7,143 | $0 | $20,998 | $0 | $247,803 | $0 | $0 | $0 |
| SATINDER MAHAL | ||||||||||||||
| PSYCHIATRIST | $139,082 | $0 | $975 | $0 | $37,279 | $0 | $3,193 | $0 | $18,242 | $0 | $198,771 | $0 | $0 | $0 |
| AVEEKSHIT TRIPATHI | ||||||||||||||
| PSYCHIATRIST | $160,240 | $0 | $3,735 | $0 | $9,963 | $0 | $3,475 | $0 | $588 | $0 | $178,001 | $0 | $0 | $0 |
| MWENDALUBI YASA | ||||||||||||||
| PSYCHIATRIST | $166,169 | $0 | $200 | $0 | $3,925 | $0 | $4,289 | $0 | $13,828 | $0 | $188,411 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 2 New program services | DURING FISCAL YEAR 2024, PRAIRIE VIEW WAS CERTIFIED AS A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC |
| Form 990, Part III, Line 3 Significant changes in program services | DURING FISCAL YEAR 2024, PRAIRIE VIEW DISCONTINUED THE INPATIENT HOSPITAL AND TRANSFORMED THE HOSPITAL TO A BEHAVIORAL URGENT CARE UNIT |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CFO AND THE AUDIT AND FINANCE COMMITTEE FOR REVIEW AND APPROVAL. AN ELECTRONIC DRAFT OF THE 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO THE FULL BOARD PRIOR TO FILING WITH THE IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | BOARD MEMBERS AND OFFICERS SIGN A CONFLICT OF INTEREST STATEMENT. MANAGEMENT AND THE BOARD REVIEW ACTIVITY THAT MAY CREATE A CONFLICT OF INTEREST. ACTUAL OR POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE BOARD. AFTER DISCLOSURE AND DISCUSSION OF THE CONFLICT, THE INTERESTED PERSON MUST LEAVE THE MEETING WHILE THE REMAINING BOARD MEMBERS DISCUSS AND VOTE ON WHETHER A CONFLICT EXISTS. IF A CONFLICT DOES EXIST, THE BOARD WILL DETERMINE WHETHER THEY CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF THAT IS NOT REASONABLY POSSIBLE, THE DISINTERESTED MEMBERS WILL VOTE TO DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE, IN THE ORGANIZATION'S BEST INTEREST, AND TO THE ORGANIZATION'S BENEFIT. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | CHIEF PEOPLE OFFICER COLLECTS AND DISSEMINATES THIRD-PARTY SALARY SURVEY INFORMATION TO THE EXECUTIVE COMMITTEE FOR CONSIDERATION DURING THE ANNUAL CEO REVIEW, THEN MEETS WITH BOARD CHAIR AND BOARD EXECUTIVE COMMITTEE TO DETERMINE CEO COMPENSATION. |
| Form 990, Part VI, Line 19 Required documents available to the public | THIS INFORMATION IS NOT NORMALLY AVAILABLE TO THE PUBLIC. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | ALL OTHER REVENUE - Total Revenue: 234070, Related or Exempt Function Revenue: 234070, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEADOWLARK HOUSING INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 467 | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481079169 | EIN |
| Primary Activities | HOUSING | PrimaryActivitiesTxt |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 10 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PVI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEADOWLARK HOUSING INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionTypeTxt |
| Involved | $93,867 | InvolvedAmt |
| Method Of Amount Determination | BOOK VALUE | MethodOfAmountDeterminationTxt |